Nicholas Philip Matarazzo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

054195 Issued in CT

Practice address

156 Kings Hwy N
Westport, CT 06880-2440

Phone

(203) 221-7337

Fax

(203) 291-0830

NPI assigned

Apr 11, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Village Pediatrics

  • Pediatrics Physician
  • Westport, CT
  • NPI 1487809901
  NPD (past)
• Millburn Pediatrics PA

  • Pediatric Adolescent Medicine Physician
  • Millburn, NJ
  • NPI 1932231719
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1013273390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802440",
            "telephone_number": "203-221-7337",
            "fax_number": "203-291-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802440",
            "telephone_number": "203-221-7337",
            "fax_number": "203-291-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARAZZO",
        "first_name": "NICHOLAS",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "054195",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Kate Maskara, M.D.
• Alexandra Mason
• Fred Mason, RPH
• Robin Massa, RPH
• Susan Mastropietro, CD(DONA), CLC, CBE
• Jenny Mathews, DDS MS PHD
• Ellen Matteson, PA-C
• Matthew Love, Psy.D, LLC
• Cynthia R Mayer, PH.D.
• Karen Marie Mazzarese, LMFT

• Pediatrics Physician in Westport, CT
• Providers in Westport, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.